Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT03124316 |
| Other study ID # |
2017-004-E |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
April 18, 2017 |
| Last updated |
March 21, 2018 |
| Start date |
May 10, 2017 |
| Est. completion date |
September 30, 2017 |
Study information
| Verified date |
March 2018 |
| Source |
Women's College Hospital |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Family doctors can play a critical role in successfully arranging cancer screening tests to
occur, especially if they know which patients are due for these tests. However, they don't
always interact with or take advantage of registry data to this end. For example, in Ontario,
the Screening Activity Report provides exactly this information to family doctors, helping
them identify their patients who are overdue for screening. Unfortunately, less than half of
family doctors regularly use the Screening Activity Report even though they get monthly email
reminders. One possible reason is that the reminders they receive are not designed to compel
action. They are easy for family doctors to miss or dismiss. This study will compare multiple
different ways of designing the reminders. The different versions of the email are tested in
a 2^3 factorial trial testing three behaviour change techniques to see which ones will lead
to more family physicians interacting with the Screening Activity Report and at increasing
the number of patients that get all the appropriate screening tests for cervical, breast,
and/or colon cancer.
Description:
Screening is an important way to prevent cancer-related death, but many Ontarians do not
receive guideline-recommended screening for cervical, breast, and colon cancer. Family
physicians can play a critical role in successfully increasing screening rates. A recent
evaluation by members of our team suggests that Screening Activity Report (SAR) use is
associated with improved cancer screening, but there remains substantial room for
improvement. For the SAR to reach its full potential to decrease cancer-related death by
improving screening rates, family physicians must regularly access it and take the
appropriate actions. Currently, family physicians receive monthly email reminders, which
state that new data are available, but do not describe the benefits of the SAR for physicians
or their patients. It is easy to imagine how a busy doctor would fail to act upon such
emails, resulting in suboptimal use of the SAR and leading to avoidable delays in cancer
screening, and management. Indeed, CCO data show that less than half of recipients attend to
this email and <7% click through to the SAR. The objectives for this trial are to compare
different versions of the reminders in a randomized trial to identify the features that most
increase use of the SAR. This is a pragmatic, 2^3 factorial trial, comparing behaviour change
techniques incorporated within email reminders to doctors increase their use of the SAR.
Participants are those who are already sent monthly emails by CCO regarding the SAR. The
trial will randomly assign participants to one of eight modified emails to determine which
content is most effective at driving SAR-use over 4 months. With an expected sample size of
over 5700 family physicians, we anticipate power to see differences of 3% across experimental
conditions.
